Complete resection of a massive mesenteric lymphangioma in an adult

2020 ◽  
Vol 13 (3) ◽  
pp. e233714 ◽  
Author(s):  
Dominic Robert Parker ◽  
Philip Kiely ◽  
Richard Smith
Keyword(s):  
Patient Outcome ◽  
Preoperative Diagnosis ◽  
Lymphatic Vessels ◽  
Complete Resection ◽  
Surgical Team ◽  
Cystic Tumour ◽  
Good Patient ◽  
Mesenteric Lymphangioma ◽  
Good Patient Outcome ◽  
Massive Resection

Mesenteric lymphangioma is a benign cystic tumour of the lymphatic vessels that occurs rarely in adults. Due to the infrequency of cases and the insidious presentation, these tumours can be diagnosed late and become massive. Resection of mesenteric lymphangioma in its entirety is the recommended management in order to prevent recurrence. This case report describes the finding of a massive mesenteric lymphangioma (dimensions 420×470×100 mm) in a young man, the investigations leading to diagnosis, and the subsequent surgical management. The substantial size of this tumour produced considerable challenges for the surgical team, including involvement of adjacent small bowel and mesenteric vasculature. Preoperative diagnosis and assessment of the anatomy was pivotal in achieving a complete resection and a good patient outcome.

Cultural research deconstructs the psychosocial construct ‘expressed emotion’

2020 ◽  
pp. 1-4
Author(s):  
Alison M. Heru
Keyword(s):  
Patient Outcome ◽  
Chronic Illness ◽  
Expressed Emotion ◽  
Important Predictor ◽  
Good Patient ◽  
Poor Outcome ◽  
Good Patient Outcome ◽  
Research Challenges ◽  
Cultural Research ◽  
Original Component

Summary Expressed emotion (EE) is a highly researched psychosocial construct. Cultural research challenges the assumption that high family criticism is a universal determinant of poor outcome, especially for chronic illness. The concept of warmth, an original component of EE, was dropped owing to the complexity of its measurement. Warmth has now been resurrected as an important predictor of good patient outcome. Cultural scrutiny and appropriate adaptation of any psychosocial construct is necessary before its acceptance into the medical lexicon of healthcare.

scholarly journals Management of COVID-19-Positive Patient with Bilateral Longitudinal Petrous Fractures: A Case Report

2020 ◽  
Author(s):  
Mohamed Ragab Nagy ◽  
Mohamed Abdelrahman Ibrahim
Keyword(s):  
Patient Outcome ◽  
Case Report ◽  
Head Injury ◽  
Temporal Bone ◽  
Bone Fractures ◽  
Positive Patient ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Special Concern ◽  
High Index Of Suspicion

AbstractTemporal bone fractures are bilateral in 8 to 29% of cases. High index of suspicion of coronavirus disease 2019 (COVID-19) infection is important while dealing with any patient with special concern to the surgical and traumatized patients to reach a good patient outcome especially during the pandemic of COVID-19. We describe in this report the management of COVID-19-positive patient with bilateral longitudinal petrous fractures and moderate head injury.

Craniovertebral Junction

Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A7-A12 ◽  
Author(s):  
Michael P. Steinmetz ◽  
Thomas E. Mroz ◽  
Edward C. Benzel
Keyword(s):  
Patient Outcome ◽  
Cervical Spine ◽  
Craniovertebral Junction ◽  
Normal Anatomy ◽  
Complex Region ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Bony Fixation

Abstract THE CRANIOVERTEBRAL JUNCTION is a complex region that incorporates the occiput–C1–C2 portions of the spine. It is a transition between the cranium and the mobile cervical spine that permits significant motion. The motions afforded and the anatomy are vastly different at the occiput–C1 and C1–C2 articulations. These differences make treating pathology in this region very difficult. Problems include bony fixation of the cranium and the cervical spine (specifically C1 and C2), which limits complex motions, and limited bony sites available for arthrodesis. A thorough knowledge of the normal anatomy and biomechanics is required for fixation of this region. Moreover, an understanding of pathologic motions and the biomechanics of fixation is needed for successful construct design and good patient outcome.

scholarly journals Lightning Injury with Multi-System Involvement

2020 ◽  
Vol 3 (2) ◽  
pp. 56-62
Author(s):  
Ashwini Ramesh Patankar ◽  
Smita Patil ◽  
Santwana Chandrakar
Keyword(s):  
Patient Outcome ◽  
Hearing Loss ◽  
Cardiac Arrest ◽  
Cardiac Arrhythmia ◽  
Kidney Injury ◽  
System Involvement ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Lightning Injury

Lightning leads to trauma and disability such as burns, hearing loss, blindness, cardiac arrhythmia, cardiac arrest, stroke, kidney injury, and can also lead to death. Such cases are seldom reported, and hence their database is scanty. We present a case of a 40-year-old female with lightning injury with four such manifestations, which is not commonly encountered. We have elaborated on these complications of lightning injury and their timely management, which has led us to good patient outcome.

Advantages and limitations of the use of tractography and fMRI in the treatment of anaplastic glioma

2021 ◽  
pp. 32-42
Author(s):  
Igor Aleksandrovich Medyanik ◽  
Simon Quarteng Badu
Keyword(s):  
Neurological Disorders ◽  
Preoperative Diagnosis ◽  
Surgical Intervention ◽  
Complete Resection ◽  
Anaplastic Glioma ◽  
Neurological Deficits ◽  
Neural Pathways ◽  
Histological Subtype ◽  
Group A ◽  
Group B

The possibility of using only tractography as a preoperative diagnosis of anaplastic glioma is limited due to its inability to show the exact functional location of the tumor; therefore, the combination of tractography and fMRI seems to be a more promising complex diagnostic method. In neurooncology, complete resection without or with minimal neurological deficit is the goal of surgical intervention. The aim of the study was to investigate the advantages and limitations of the use of tractography and fMRI in the treatment of anaplastic glioma compared to standard CT or MRI. The study involved 48 patients who were divided into two groups based on the use of fMRI and tractography: group A (24 patients) and without it — group B (24 patients). The groups were compared in terms of age, sex, histological subtype of anaplastic glioma, degree of resection, postoperative complications, and dynamics of neurological disorders. The combination of fMRI and tractography is the best preoperative diagnosis, it is safe and allows localizing neural pathways, preserve them during surgery, and reduce postoperative neurological deficits.

scholarly journals Successful Modified Therapy in a Patient with Probable Infection-Associated Hemophagocytic Lymphohistiocytosis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Carl L. Kay ◽  
Matthew J. Rendo ◽  
Paul Gonzales ◽  
Sead G. Beganovic ◽  
Magdalena Czader
Keyword(s):  
Hemophagocytic Lymphohistiocytosis ◽  
Clinical Course ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Distributive Shock ◽  
Probable Infection ◽  
Clinical Signs And Symptoms ◽  
Baseline Renal Function

Hemophagocytic lymphohistiocytosis (HLH) is a rare, hyperinflammatory syndrome characterized by clinical signs and symptoms of extreme inflammation. In adults, HLH is typically a complication of infections, autoimmune diseases, and malignancies. While the disease is often fatal, classic management of HLH revolves around early diagnosis and initiation of protocolized therapy. We present a case of a previously healthy 56-year-old female who developed distributive shock requiring intubation, vasopressors, and continuous venovenous hemofiltration. In the setting of multiple infectious syndromes, severe cytopenias, and rising direct hyperbilirubinemia, her diagnosis of HLH was confirmed. Therapy was initiated with dexamethasone and two doses of reduced-intensity etoposide based on the patient’s clinical course. Over the next few weeks, she continued to improve on dexamethasone monotherapy and has maintained remission up to the present with complete resolution of her cytopenias and return of baseline renal function. Our case highlights the variability in the management of probable infection-associated HLH (IHLH) with a good patient outcome. We demonstrate the potential to treat IHLH with partial protocols and minimal chemotherapeutics.

PRIMARY CARDIAC TUMORS: EARLY SURGERY, COMPLETE RESECTION, CHEMOTHERAPY ENHANCES SURVIVAL.

2021 ◽  
pp. 77-79
Author(s):  
Pradeep Kumar Radhakrishnan ◽  
Gayathri Ananyajyothi Ambat ◽  
Nihas Nazer ◽  
Sushamma Murugan ◽  
Arun Vijyakaumar ◽  
...  
Keyword(s):  
Survival Rate ◽  
Adjuvant Therapy ◽  
Right Atrium ◽  
Complete Resection ◽  
Cardiac Tumors ◽  
Retrospective Evaluation ◽  
Surgical Team ◽  
Pleomorphic Sarcoma ◽  
Dismal Prognosis ◽  
Primary Cardiac Tumors

Primary cardiac tumors are rare. The incidence varies between 0.3% to 0.7% .Quarter of all primary cardiac tumors are malignant, of these 75% are sarcomas. Malignant primary cardiac sarcomas that affect right atrium are predominantly angiosarcomas while the left atrium is involved primary in pleomorphic sarcoma like malignant brous histiocytoma and leiomyosarcoma. In a young patient it usually carries a dismal prognosis if not diagnosed early and dealt with surgically followed by adjuvant therapy. Without surgical resection, the survival rate at 1yr is only 10%.Retrospective evaluation of the last 60 primary cardiac tumors done by the same surgical team over 28 years was looked into.

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